EP0707044B1 - Mélanges de polymères absorbables - Google Patents
Mélanges de polymères absorbables Download PDFInfo
- Publication number
- EP0707044B1 EP0707044B1 EP95307158A EP95307158A EP0707044B1 EP 0707044 B1 EP0707044 B1 EP 0707044B1 EP 95307158 A EP95307158 A EP 95307158A EP 95307158 A EP95307158 A EP 95307158A EP 0707044 B1 EP0707044 B1 EP 0707044B1
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- European Patent Office
- Prior art keywords
- poly
- lactide
- blend
- caprolactone
- weight percent
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/041—Mixtures of macromolecular compounds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L17/00—Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
- A61L17/06—At least partially resorbable materials
- A61L17/10—At least partially resorbable materials containing macromolecular materials
- A61L17/12—Homopolymers or copolymers of glycolic acid or lactic acid
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/14—Macromolecular materials
- A61L27/26—Mixtures of macromolecular compounds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
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- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08L—COMPOSITIONS OF MACROMOLECULAR COMPOUNDS
- C08L67/00—Compositions of polyesters obtained by reactions forming a carboxylic ester link in the main chain; Compositions of derivatives of such polymers
- C08L67/04—Polyesters derived from hydroxycarboxylic acids, e.g. lactones
Definitions
- the field of art to which this invention relates is polymers, more specifically, biocompatible, absorbable binary and tertiary polymer blends. Especially, blends of poly(lactide-co-glycolide) with poly( ⁇ -caprolactone) and poly(p-dioxanone) polymers.
- Polymers including homopolymers and copolymers, which are both biocompatible and absorbable in vivo are well known in the art. Such polymers are typically used to manufacture medical devices which are implanted in body tissue and absorb over time. Examples of such medical devices manufactured from these absorbable biocompatible polymers include suture anchors, sutures, staples, surgical tacks, clips, plates and screws, etc.
- Absorbable, biocompatible polymers useful for manufacturing medical devices include both natural and synthetic polymers. Natural polymers include cat gut, cellulose derivatives, collagen, etc. Synthetic polymers include aliphatic polyesters, polyanhydrides, poly(ortho)esters, and the like. Natural polymers typically absorb by an enzymatic degradation process in the body, while synthetic absorbable polymers typically degrade by a hydrolytic mechanism.
- Synthetic absorbable polymers which are typically used to manufacture medical devices include homopolymers such as poly(glycolide), poly(lactide), poly( ⁇ -caprolactone), poly(trimethylene carbonate) and poly(p-dioxanone) and copolymers such as poly(lactide-co-glycolide), poly( ⁇ -caprolactone-co-glycolide), and poly(glycolide-co-trimethylene carbonate).
- the polymers may be statistically random copolymers, segmented copolymers, block copolymers, or graft copolymers. It is also known that both homopolymers and copolymers can be used to prepare blends.
- such devices should have excellent palpability. That is, the device, in vivo, should be able to soften and dissolve away slowly upon absorption, rather than fragmenting into small granules which can cause tissue reaction.
- a novel, absorbable, biocompatible, polymer blend comprises a minor phase of 0.1 weight percent to 9.9 weight percent of a mixture of homopolymers of poly( ⁇ -caprolactone) and poly(p-dioxanone), or a blocky, segmented, statistically random, or branched copolymer of ⁇ -caprolactone and p-dioxanone, with the remaining portion of the blend comprising a major phase of poly(lactide) homopolymer and/or poly(lactide-co-glycolide) copolymer.
- Yet another aspect of the present invention is a biomedical device, especially implantable wound closure devices such as suture anchors, surgical staples, clips, sutures, plates and screws, comprising the above-described polymer blends.
- implantable wound closure devices such as suture anchors, surgical staples, clips, sutures, plates and screws, comprising the above-described polymer blends.
- Another aspect of the present invention is a medical device manufactured from the above-described polymer blends of the present invention which can be heated above the melting point of the minor phase of the blend, then shaped to conform to a body structure, and then cooled to body temperature to retain the newly formed shape when implanted in vivo .
- Still yet another aspect of the present invention is a method of conforming a medical device to a body structure.
- the method entails using a medical device manufactured from the above-described polymer blends. Then, heating the device above the melting point of the minor phase of the blend, and shaping the device to conform to the shape of the body structure.
- FIG. 1 is a graph illustrating the in vitro BSR profiles of a blend composed of 95 weight percent of a 95:5 (mol/mol) poly(lactide-co-glycolide) copolymer and 5 weight percent of a 90:10 (mol/mol) poly( ⁇ -caprolactone-co-p-dioxanone) copolymer, and a 95:5 (mol/mol) poly(lactide-co-glycolide) copolymer.
- FIG. 2 is an illustration of a perspective view of a maxillofacial plate which can be manufactured from the polymer blends of the present invention.
- FIG. 3 is a perspective view of a test flex bar manufactured from a polymer blend of the present invention.
- FIG. 4 is a perspective view of a test device used to test the bendability of the polymer blends of the present invention.
- the aliphatic polyesters useful in the practice of the present invention will typically be synthesized by conventional techniques using conventional processes.
- the aliphatic lactone monomers are polymerized in the presence of an organometallic catalyst and an initiator at elevated temperatures.
- the organometallic catalyst is preferably tin based, e.g., stannous octoate, and is present in the monomer mixture at a molar ratio of monomer to catalyst ranging from 10,000/1 to 100,000/1.
- the initiator is typically an alkanol, a glycol, a hydroxyacid, or an amine, and is present in the monomer mixture at a molar ratio of monomer to initiator ranging from 100/1 to 5000/1.
- the polymerization is typically carried out at a temperature range from 80°C to about 220°C, preferably from 160°C to about 200°C, until the desired molecular weight and viscosity are achieved.
- the homopolymers and copolymers will typically have a weight average molecular weight of 10,000 grams per mole to 200,000 grams per mole, more typically 20,000 grams per mole to 100,000 grams per mole, and most preferably 40,000 grams per mole to 70,000 grams per mole.
- Polymers of these molecular weight exhibit inherent viscosities between 0.1 to 3.0 deciliters per gram (dL/g), more typically 0.2 to 2.5 dL/g, and most preferably 0.4 to 2.0 dL/g as measured in a 0.1 g/dL solution of hexafluoroisopropanol (HFIP) at 25°C.
- HFIP hexafluoroisopropanol
- Suitable aliphatic lactone monomers may be selected from the group consisting of glycolide, lactide ( l , d, dl, meso ), p-dioxanone, trimethylene carbonate, ⁇ -caprolactone, delta-valerolactone, beta-butyrolactone, epsilon-decalactone, 2,5-diketomorpholine, pivalolactone, alpha, alpha-diethylpropiolactone, ethylene carbonate, ethylene oxalate, 3-methyl-1,4-dioxane-2,5-dione, 3,3-diethyl-1,4-dioxan-2,5-dione, gamma-butyrolactone, 1,4-dioxepan-2-one, 1,5-dioxepan-2-one, 1,4-dioxan-2-one, 6,8-dioxabicycloctane-7-one and combinations of two or more thereof
- the aliphatic polyesters consist of poly( ⁇ -caprolactone), poly(p-dioxanone), and poly(lactide) homopolymers, and poly( ⁇ -caprolactone-co-p-dioxanone) and poly(lactide-co-glycolide) copolymers.
- the poly(lactide-co-glycolde) copolymers will contain sufficient amounts of glycolide repeating units to effectively provide faster bioabsorption while still providing a reasonably long BSR profile.
- the poly(lactide-co-glycolide) copolymers will typically contain 25 mole percent to 99 mole percent of lactide repeating units, and more preferably 50 mole percent to 95 mole percent of lactide repeating units.
- the lower limit of lactide repeating units in the copolymer is desirable because the presence of 50 mole percent of glycolide repeating units provides faster bioabsorption to the copolymer.
- the upper limit of lactide repeating units in the copolymer is desirable because it provides a long BSR profile to the copolymer.
- the poly( ⁇ -caprolactone-co-p-dioxanone) copolymers will contain sufficient amounts of ⁇ -caprolactone repeating units to effectively provide acceptable bioabsorption and BSR profiles.
- the poly( ⁇ -caprolactone-co-p-dioxanone) copolymers will preferably consist of 5 mole percent to 95 mole percent of ⁇ -caprolactone repeating units. Most preferably, the poly( ⁇ -caprolactone-co-p-dioxanone) copolymers will consist of 50 mole percent to 95 mole percent of ⁇ -caprolactone repeating units.
- the lower and upper limits of ⁇ -caprolactone repeating units provide for copolymers with a desirable range of BSR profiles, absorptions, and crystallinity for bendability characteristics.
- the polymer blends of the present invention are manufactured in a conventional manner, preferably in the following manner.
- the homopolymers and copolymers are individually charged into a conventional mixing vessel having a conventional mixing device mounted therein such as an impeller or equivalents thereof.
- the polymers and copolymers are mixed at a temperature of 150°C to 220°C, more preferably from 160°C to 200°C, for 5 to 90 minutes, more preferably for 10 to 45 minutes, until a uniformly dispersed polymer blend is obtained.
- the polymer blend is further processed by removing it from the mixing device, cooling to room temperature, grinding, and drying under pressures below atmospheric at elevated temperatures for a period of time using conventional apparatuses and processes.
- the binary polymer blends of the present invention will have sufficient amounts of poly( ⁇ -caprolactone-co-p-dioxanone) copolymers to effectively impart sufficient shapeability and palpability to the blend while retaining the strength, stiffness, and BSR properties of the poly(lactide) homopolymer and/or poly(lactide-co-glycolide) copolymers.
- the blends will typically contain 0.1 weight percent to 9.9 weight percent of poly( ⁇ -caprolactone-co-p-dioxanone) copolymer, and most preferably 0.5 weight percent to 9.5 weight percent of poly( ⁇ -caprolactone-co-p-dioxanone) copolymer.
- the major phase of the blend will comprise a poly(lactide) homopolymer and/or poly(lactide-co-glycolide) copolymer of 99.9 weight percent to 90.1 weight percent, and more preferably 99.5 weight percent to 90.5 weight percent.
- the tertiary polymer blends of the present invention will contain sufficient amounts of poly( ⁇ -caprolactone) and poly(p-dioxanone) homopolymers to effectively impart shapeability and palpability to the blend while retaining the strength, stiffness and BSR properties of the poly(lactide) homopolymer and/or poly(lactide-co-glycolide) copolymers.
- poly( ⁇ -caprolactone) and poly(p-dioxanone) homopolymers has the additional ability to impart dimensional stability to the blends in comparison to those blends with poly( ⁇ -caprolactone-co-p-dioxanone) copolymers.
- the tertiary polymer blends will contain a combination of 0.1 weight percent to 9.9 weight percent of various amounts of poly(p-dioxanone) and poly( ⁇ -caprolactone) homopolymers, and preferably 0.5 weight percent to 9.5 weight percent.
- the relative proportion of poly( ⁇ -caprolactone) homopolymer to poly(p-dioxanone) homopolymer in the blend will typically contain 5 weight percent to 95 weight percent poly( ⁇ -caprolactone), and preferably 50 weight percent to 95 weight percent poly( ⁇ -caprolactone) homopolymer.
- the major phase of the blend will comprise a poly(lactide) homopolymer and/or poly(lactide-co-glycolide) copolymers of 99.9 weight percent to 90.1 weight percent, and more preferably 99.5 weight percent to 90.5 weight percent.
- Articles such as medical devices are molded from the polymer blends of the present invention by use df various conventional injection and extrusion molding equipment equipped with dry nitrogen atmospheric chamber(s) at temperatures ranging from 160°C to 230°C, more preferably from 170°C to 220°C, with residence times of 1 to 10 minutes, more preferably from 2 to 5 minutes.
- the blends of this invention can be melt processed by numerous conventional methods and equivalents thereof to prepare a vast array of useful devices. These blends can be injection or compression molded to make implantable medical and surgical devices, especially wound closure devices.
- the preferred wound closure devices are surgical clips, staples, suture anchors, tacks, pins, plates and screws, and sutures.
- the blends can be extruded to prepare fibers.
- the filaments thus produced may be fabricated into medical devices such as sutures or ligatures, attached to surgical needles, packaged, and sterilized by known techniques.
- the blends of the present invention may be spun as multifilament yarn and woven or knitted to form sponges or gauze, (or non-woven sheets may be prepared) or used in conjunction with other molded compressive structures as prosthetic devices within the body of a human or animal where it is desirable that the structure have high tensile strength and desirable levels of compliance and/or ductility.
- Useful embodiments include medical devices such as tubes, including branched tubes, for artery, vein or intestinal repair, nerve splicing, tendon splicing, sheets for tying up and supporting damaged surface abrasions, particularly major abrasions, or areas where the skin and underlying tissues are damaged or surgically removed.
- medical devices such as tubes, including branched tubes, for artery, vein or intestinal repair, nerve splicing, tendon splicing, sheets for tying up and supporting damaged surface abrasions, particularly major abrasions, or areas where the skin and underlying tissues are damaged or surgically removed.
- blends can be molded to form films which, when sterilized, are useful as adhesion prevention barriers.
- Another alternative processing technique for the blends of this invention includes solvent casting, particularly for those applications where a drug delivery matrix is desired.
- the surgical and medical uses of the filaments, films, and molded articles of the present invention include, but are not necessarily limited to:
- Knitted medical devices including:
- Bone plate 10 can be manufactured from the polymer blends of the present invention.
- the bone plate 10 is seen to have frame 20 and a plurality of openings 25 therethrough for receiving fasteners such as bone screws 45. Raised shoulders 27 extend from frame 20 and surround each opening 25.
- the bone plate 10 may be heated to a temperature of from about 80°C to about 120°C in a conventional manner by, for example, immersing the bone plate in a heated water bath, radiant heating, convective heating, etc., and combinations thereof. When heated sufficiently, the plate 10 may be effectively shaped to conform to a body structure such as bone segment 40 by bending, twisting, etc., the frame 20.
- the plate 10 is then allowed to cool and the shaped plate 10 is then applied next to the body structure using conventional surgical techniques. As seen in FIG. 2, the plate 10 has been slightly bowed prior to being affixed to a bone section 40. Plate 10 may be molded from the polymer blends of the present invention using conventional molding apparatuses and conventional processes.
- a test flex bar 50 manufactured from the polymer blends of the present invention is seen in FIG. 3.
- the rectangularly shaped flex bar 50 is seen to have elongated body section 60 having opposed ends 70.
- a testing device 100 for testing flex bars 50 is illustrated in FIG. 4.
- the device has a stationary frame 105 and a movable member 120 biased by helical spring member 125.
- Moveable member 120 is seen to be mounted to shaft member 107 which is free to slide through passage 109 in frame 105.
- a flex bar 50 fits into frame 105 resting upon base member 130 having sloping sides 132 and 134 which intersect at peak 136.
- the flex bar is contacted by movable member 120.
- the biased member 120 will cause flex bar 50 to bend about the peak 136 of base member 130.
- Moveable member 120 is seen to have cavity 122 corresponding to the configuration of basemember 130.
- the high molecular weight aliphatic polyesters are prepared by a method consisting of reacting lactone monomers via a ring opening polymerization at temperatures of 80°C to 220°C for 1 to 24 hours under an inert nitrogen atmosphere until the desired molecular weight and viscosity are achieved.
- the polymer blends of the present invention are prepared by individually charging the synthesized aliphatic homo- and co-polyesters into a conventional mixing vessel.
- the homopolymers and copolymers are mixed at a temperature of 150°C to 220°C, for 5 to 90 minutes until a uniformly dispersed polymer blend is obtained.
- high molecular weight aliphatic polyesters and blends thereof are prepared and based upon lactone monomers such as glycolide, lactide, p-dioxanone, and ⁇ -caprolactone.
- the blends, polymers and monomers were characterized for chemical composition and purity (NMR, FT-IR), thermal analysis (DSC), melt rheology (melt stability and viscosity), molecular weight (inherent viscosity), and baseline and in vitro mechanical properties (Instron stress/strain).
- FT-IR was performed on a Nicolet FT-IR. Polymer samples were melt pressed into thin films. Monomers were pressed into KBr pellets. 1 H NMR was performed on a 300 MHz XMR using CDCl 3 or HFAD as a reference.
- Thermal analysis of blends, polymers and monomers was performed on a Dupont 912 Differential Scanning Calorimeter (DSC) at a heating rate of 10°C/min. A Fisher-Johns melting point apparatus was also utilized to determine melting points of monomers. Thermal gravimetric analysis was performed on a Dupont 951 TGA at a rate of 10°C/min. under a nitrogen atmosphere. Isothermal melt stability of the polymers was also determined by a Rheometrics Dynamic Analyzer RDA II for a period of 1 hour at temperatures ranging from 160°C to 230°C under a nitrogen atmosphere.
- Inherent viscosities (I.V., dL/g) of the blends and polymers were measured using a 50 bore Cannon-Ubbelhode dilution viscometer immersed in a thermostatically controlled water bath at 25°C utilizing chloroform or HFIP as the solvent at a concentration of 0.1 dL/g.
- Melt viscosity was determined utilizing a Rheometrics Dynamic Analyzer RDA II at temperatures ranging from 160°C to 230°C at rate of 1°C/min. to 10°C/min. at frequencies of 1s -1 to 100s -1 under a nitrogen atmosphere.
- the cylindrical dumbbells were prepared by utilizing a CSI Mini-max injection molder equipped with a dry nitrogen atmospheric chamber at temperatures ranging from 170°C to 220°C with a residence time of 3 minutes.
- the assembly was then placed in a high temperature oil bath at 185°C.
- the stirred monomers quickly began to melt.
- the low viscosity melt quickly increased in viscosity.
- Mechanical stirring of the high viscosity melt was continued for a total reaction time of 4 hours.
- the 95:5 (mol/mol) poly(lactide-co-glycolide) copolymer was removed from the bath, cooled to room temperature under a stream of nitrogen, isolated and ground. The polymer was then dried under vacuum at 110°C for 24 hours. Inherent viscosity using HFIP as a solvent was 1.95 dL/g.
- the assembly was then placed in a high temperature oil bath at 190°C.
- the stirred monomers quickly began to melt.
- the low viscosity melt quickly increased in viscosity.
- Mechanical stirring of the high viscosity melt was continued for a total reaction time of 24 hours.
- the 90:10 (mol/mol) poly( ⁇ -caprolactone-co-p-dioxanone) copolymer was removed from the bath, cooled to room temperature under a stream of nitrogen, isolated and ground. The polymer was then dried under vacuum at 40°C for 24 hours. Inherent viscosity using HFIP as a solvent was 1.17 dL/g.
- a patient having a fractured femur is prepared for surgery using conventional surgical techniques.
- the patient's femur is exposed using conventional surgical techniques so that the bone fracture site 40 is exposed as seen in FIG. 2.
- the surgeon takes a bone plate 10 manufactured from the polymer and copolymer blends of the present invention and immerses it in a vessel containing sufficiently warm water e.g., 80-100°C for a sufficient amount of time to effectively soften the plate 10.
- the plate 10 is removed from the vessel and the surgeon shapes the bone plate 10 by bending it and then allows it to cool for a sufficient amount of time so that it effectively retains its shape.
- the plate 10 is then mounted to fracture site 40 in a conventional manner using conventional biocompatible bone screws 45.
- the patient's thigh is then closed using conventional surgical techniques.
- the polymer blends of the present invention have many advantages over the polymer blends of the prior art. For example, in the development of a maxillofacial fixation device one of the concerns involves the ability of the device to be shaped by the surgeon during surgery to the contours of, for example, a fractured bone 40 as seen in FIG. 2. Once contoured to the fractured bone, the device must retain its shape. That is, the polymer must have shape retention characteristics.
- the binary blends of this invention by the addition of small amounts of a poly( ⁇ -caprolactone-co-p-dioxanone) copolymer to a poly(lactide-co-glycolide) copolymer, better shape retention can be obtained. That is, by heating the plate to 80-120°C to bend it to the shape of the fractured bone, the poly( ⁇ -caprolactone-co-p-dioxanone) copolymer will melt, causing the plate to "flow" and bend more easily. Once the plate has cooled, the poly( ⁇ -caprolactone-co-p-dioxanone) copolymer crystallizes, "locking" the newly contoured shape into the plate.
- shapeability in a device can be obtained by utilizing small amounts of semi-crystalline, poly( ⁇ -caprolactone-co-p-dioxanone) copolymers or poly( ⁇ -caprolactone) and poly(p-dioxanone) homopolymers in a blend with poly(lactide) homopolymers and/or poly(lactide-co-glycolide) copolymers.
- poly( ⁇ -caprolactone-co-p-dioxanone) copolymers can surface erode, the device will slowly dissolve away rather than fragmenting into small granules. Formation of small granules of polymer can lead to tissue reaction.
- binary blends consisting of a poly(lactide) homopolymers and/or poly(lactide-co-glycolide) copolymers with poly( ⁇ -caprolactone-co-p-dioxanone) copolymers will give desirable properties such as shape retention and palpability while maintaining the high strength, stiffness and BSR of the poly(lactide) homopolymers and/or poly(lactide-co-glycolide) copolymers.
- tertiary blends of poly(lactide) homopolymers and/or poly(lactide-co-glycolide) copolymers with poly( ⁇ -caprolactone) and poly(p-dioxanone) homopolymers will also impart the desirable properties of shape retention and palpability while maintaining the high strength, stiffness and BSR of the poly(lactide) homopolymers and/or poly(lactide-co-glycolide) copolymers.
- the tertiary blends will have improved dimensional stability in comparison to the binary blends.
- Medical devices made from the polymer blends of the present invention are typically pre-packaged by the manufacturer using conventional packages and packaging materials.
- the devices in the packages are then typically sterilized by the manufacturer using conventional sterilization processes and procedures, including ethylene oxide, radiation, heat, etc.
- the medical devices of the present invention can be sterilized at the point of use, e.g., the hospital, but only if the devices have not been previously sterilized.
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Claims (14)
- Mélange polymère absorbable, biocompatible, comportant :une phase principale comprenant 90,1 pour cent en poids à 99,9 pour cent en poids d'un polymère choisi dans le groupe constitué d'homopolymères de poly(lactite) et de copolymères de poly(lactide-co-glycolide) et de leurs combinaisons ; et,une phase mineure comprenant 0,1 pour cent à 99,9 pour cent en poids d'un copolymère de poly(ε-caprolactone-co-p-dioxanone).
- Le mélange de la revendication 1 dans lequel la phase principale comprend 90,5 pour cent en poids à 99,5 pour cent en poids d'un polymère choisi dans le groupe constitué d'homopolymères de poly(lactite) et de copolymères de poly(lactide-co-glycolide) et de leurs combinaisons, et dans lequel la phase mineure comprend 0,5 pour cent en poids à 9,5 pour cent en poids d'un copolymère de poly(ε-caprolactone-co-p-dioxanone).
- Le mélange de la revendication 1 dans lequel le copolymère poly(ε-caprolactone-co-p-dioxanone) comprend 5 moles pour cent à 95 moles pour cent de motifs répétitifs de ε-caprolactone.
- Le mélange de la revendication 3 dans lequel le copolymère comprend de 50 moles pour cent à 95 moles pour cent de motifs répétitifs de ε-caprolactone.
- Mélange polymère absorbable, biocompatible, comportant :une phase principale comprenant 90,1 pour cent en poids à 99,9 pour cent en poids d'un polymère choisi dans le groupe constitué d'homopolymères de poly(lactite) et de copolymères de poly(lactide-co-glycolide) et de leurs combinaisons ; et,une phase mineure comprenant 0,1 pour cent en poids d'un mélange d'homopolymères de poly(ε-caprolactone) et de poly(p-dioxanone).
- Le mélange de la revendication 5 dans lequel la phase principale comprend 90,5 pour cent en poids à 99,5 pour cent en poids d'un polymère choisi dans le groupe constitué d'homopolymères de poly(lactite) et de copolymères de poly(lactide-co-glycolide) et de leurs combinaisons, et dans lequel la phase mineure comprend 0,5 pour cent en poids à 9,5 pour cent en poids d'un mélange d'homopolymères poly(ε-caprolactone) et poly(p-dioxanone).
- Le mélange de l'une quelconque des revendications précédentes dans lequel la phase principale du mélange comporte un homopolymère de poly(lactite).
- Le mélange de l'une quelconque des revendications 1 à 6 dans lequel la phase principale du mélange comporte un copolymère poly(lactide-co-glycolide).
- Le mélange de la revendication 8 dans lequel le copolymère poly(lactide-co-glycolide) comprend 50 moles pour cent à 95 moles pour cent de motifs répétitifs de lactide.
- Le mélange de la revendication 9 dans lequel le copolymère poly(lactide-co-glycolide) comprend 95 moles pour cent à 95 moles pour cent de motifs répétitifs de lactide.
- Le mélange de la revendication 5 dans lequel le rapport (basé sur le poids) entre la poly(ε-caprolactone) et la poly(p-dioxanone) vaut de 5:95 à 95:5.
- Le mélange de la revendication 11 dans lequel le rapport (basé sur le poids) entre la poly(ε-caprolactone) et la poly(p-dioxanone) vaut de 50:50 à 95:5.
- Un dispositif médical absorbable pour emploi pour la fermeture d'une blessure, le dispositif médical comportant un mélange polymère conforme à l'une quelconque des revendications précédentes.
- Procédé de mise en forme d'un dispositif médical bioabsorbable à la forme d'une structure du corps comportant les étapes consistant à :chauffer suffisamment un dispositif médical bioabsorbable pour permettre effectivement au dispositif médical de se mettre en forme ;conformer le dispositif médical chauffé selon une forme d'une structure du corps ;refroidir suffisamment le dispositif médical pour que le dispositif conserve effectivement la forme,
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US320634 | 1994-10-11 | ||
US08/320,634 US5641501A (en) | 1994-10-11 | 1994-10-11 | Absorbable polymer blends |
Publications (3)
Publication Number | Publication Date |
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EP0707044A2 EP0707044A2 (fr) | 1996-04-17 |
EP0707044A3 EP0707044A3 (fr) | 1996-06-05 |
EP0707044B1 true EP0707044B1 (fr) | 2000-03-15 |
Family
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Application Number | Title | Priority Date | Filing Date |
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EP95307158A Expired - Lifetime EP0707044B1 (fr) | 1994-10-11 | 1995-10-10 | Mélanges de polymères absorbables |
Country Status (8)
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---|---|
US (2) | US5641501A (fr) |
EP (1) | EP0707044B1 (fr) |
JP (1) | JP3383492B2 (fr) |
AU (1) | AU690323B2 (fr) |
BR (1) | BR9504356A (fr) |
CA (1) | CA2160207A1 (fr) |
DE (1) | DE69515587T2 (fr) |
ZA (1) | ZA958540B (fr) |
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- 1995-10-09 AU AU33144/95A patent/AU690323B2/en not_active Expired - Fee Related
- 1995-10-10 EP EP95307158A patent/EP0707044B1/fr not_active Expired - Lifetime
- 1995-10-10 BR BR9504356A patent/BR9504356A/pt not_active Application Discontinuation
- 1995-10-10 ZA ZA958540A patent/ZA958540B/xx unknown
- 1995-10-10 CA CA002160207A patent/CA2160207A1/fr not_active Abandoned
- 1995-10-10 DE DE69515587T patent/DE69515587T2/de not_active Expired - Lifetime
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1996
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Also Published As
Publication number | Publication date |
---|---|
DE69515587T2 (de) | 2000-07-20 |
EP0707044A2 (fr) | 1996-04-17 |
JPH08208966A (ja) | 1996-08-13 |
US5705181A (en) | 1998-01-06 |
DE69515587D1 (de) | 2000-04-20 |
US5641501A (en) | 1997-06-24 |
BR9504356A (pt) | 1996-10-08 |
JP3383492B2 (ja) | 2003-03-04 |
AU690323B2 (en) | 1998-04-23 |
AU3314495A (en) | 1996-04-26 |
CA2160207A1 (fr) | 1996-04-12 |
ZA958540B (en) | 1997-04-10 |
EP0707044A3 (fr) | 1996-06-05 |
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